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Specimen Collection and Handling

Genital Infectious PCR Testing

Blood Sample Collection

Bone Marrow Collection

24-Hour Urine Collection

Coagulation Specimen Handling

Differential Smear Prep

Microbiology Collection Containers

Urine Sample Collection

Virology Sample Collection

Lab Collection Requirements

Special Test Considerations

Processing and Transport

Centrifuge Procedure
Packaging Sample for Transport

 

Forms

Medicare: Advanced Beneficiary Notice of Non-Coverage (ABN #032739)

 

VT and NY Medicaid: Notice of Financial Responsibility (#037113)

 

Tricare Request for Non-covered Services (#037112) 

 

Medicare: Advance Beneficiary Notice Non-coverage (ABN) for Patients Who are Dual Eligible (Medicare/Medicaid) (#DOC0010534)

 

Commercial: Advance Notice of Potential Non-Coverage, Form #037111

 

HPV Testing Add-On Order Form

 

Alternative Lab Form (Form#037205)

 

Amending diagnosis Information for NON UVM Medical Center Providers Form

 

Autopsy Permission Form

 

New York State Informed Consent for Chromosome Analysis Testing

 

New York State Informed Consent for FISH Testing

 

Telephone/FAX Order Form

 

Supply Order Form (015720A)

 

Vermont Informed Consent for Genetic Testing

 

Test Documents
Anticoagulation Impact Coagulation Testing


Antimicrobial Susceptibility Results For Gram Negative Organisms


Antimicrobial Susceptibility results For Gram Positive Organisms

 

Antifungal Susceptibility Results for Yeast


Glucose Tolerance Test, Gestational

Glucose Tolerance Test, Non-Gestational


Parasite Investigation of Stool Specimens Algorithm


Virology Sample Collection Brochure
 

Policies

Anonymous Patient Testing

Collect Date and Time Lab Specimens

Critical Lab Values

Custom Lab Profiles
Reflex Test Policy

Specimen Acceptability for the Laboratory Policy

Standing Order Policy

STAT Lab Requests

Test Ordering

Valid Lab Orders for Outpatients

Written Authorization of Telephone Orders


University of Vermont Medical Center

Mayo Clinic Laboratories

Champlain Toxicology Lab

Vermont Department of Health

Center for Disease Control and Prevention

UVM Department of Pathology and Laboratory Medicine

Mayo Clinic Laboratories

Test Code LAB40 VANCOMYCIN, RANDOM

Important Note

If assessing Peak levels, peak level should be collected 60-120 minutes after completion of infusion.

Additional Codes

Epic Code Atlas Code Mayo Access ID Order LOINC
LAB40 VANCO FAH215 4091-5

Specimen Information

Container Specimen Temperature Collect Vol Submit Vol Min Vol Stability
SST Serum Refrigerate 4 mL 0.5 mL 0.2 mL 3 days
Yellow Microtainer Serum Refrigerate 0.6 mL N/A N/A 3 days

Serum should be removed from the cells within 4 hours of collection.

Serum is the only acceptable specimen type for this assay.

Test Schedule / Analytical Time / Test Priority

Daily / 24 Hours / Available STAT

Method

Chemiluminescence Immunoassay

CPT(s)

Description CPT Code
Vancomycin 80202

 

Instrumentation

Ortho Vitros 5600

Reference Range

All ages:

Trough: 10.0 - 20.0 ug/mL

Peak: 25.0 - 50.0 ug/mL

 

Section

Chemistry-1

Performing Location

University of Vermont Medical Center

Is the UVMMC lab NY State Certified to perform this testing?  Yes/No

Yes